2013 Summer Musical Theatre Camp Registration FormStudent’s Name: Nickname (if applicable):

Date of Birth: Male / Female (please circle)

Desired Camp Week (please circle one):

Week 1: July 8-13

Week 2: July 15-20

Week 3: July 22-27

Week 4: July 29-August 3

Week 5: August 5-10

If your first choice is full, is there another week you would like to attend? (please indicate below)

Parent/Guardian:

Address, City, State, Zip:

Cell/Emergency Phone:

Email Address:

Student allergies, health concerns, etc.:

How did you hear about our camp?

T-shirt size (please circle): Youth Size - S (6-8) M (10-12) L (14-16)No additional cost! Adult Size - S M L XL 2X

Check or Credit Card PaymentsMAIL registration form with payment to:Attention: Matt WallaceDerby Dinner Playhouse525 Marriott DriveClarksville, IN 47129(make checks payable toDerby Dinner Playhouse) Credit Card Payments OnlySend registration form to:EMAIL- wallace@derbydinner.comFAX- (812) 288-2636 Attn: Matt Wallace

Payment Information

Check Enclosed VISA MC AMEX DISC

CC#

Exp Date CVV Code (on back)

Name (as it appears on card)

Billing Address (if different from below)

Upon receipt of registration form and tuition,we will send confirmation email.

Note: Sibling Discount - $25 off additional siblings!

LIABILITY AND PHOTO RELEASEI hold Derby Dinner Playhouse harmless against all claims or demands arising from my participation in camp.

I hereby give my permission for emergency medical treatment, in the event I cannot be reached in a timely manner.

Derby Dinner Playhouse is not responsible for lost or stolen items. Please bring only what you need.

All photographs and video resulting from participation in theatre camp will become property of Derby Dinner Playhouse to be used in promotion on website, social media, and promotional materials. For confidentiality, no student names will be associated with photos.

Parent/guardian signature Date

DDP Performing Arts Academy Summer Musical Theatre Camp FAQs

What are the dates and time? This year we have 5 weeks of options. Week 1 of camp is July 8-13; Week 2 is July 15-20; Week 3 is July 22-27; Week 4 is July 29-August 3; Week 5 is August 5-10. (Please note that Southern Indiana schools begin school August 1.) The camp runs Monday through Saturday, with no camp on Wednesdays due to matinee in the theatre. Camp time is 9:00AM-3:00PM daily. Please be prompt for drop-offs and pickups - we have full days planned. Please do not arrive earlier than 8:45AM as no staff will be in the building yet. At the end of the day, students will not be allowed to wait outside for pickup.

Where do I go? Camp days will begin and finish in the theatre arena at Derby Dinner Playhouse. Parking is free.

Where will classes take place? The 4 classes take place on stage, in lobby, lounge, and meeting room next door at the Holiday Inn. The class will be escorted by the teacher through the parking lot to and from the Holiday Inn meeting room.

What should I wear? Please wear comfortable clothes in which you can comfortably move. Please - no short skirts or open-toed shoes/sandals. If you wish to bring dance shoes, you may, but it is not required.

Who are the teachers? The Performing Arts Academy teaching staff is comprised of all Derby Dinner Playhouse theatre professionals – actors, directors, and choreographers from the Playhouse.

Do I need to have prior theatre experience? No. It is our mission to offer theatre camp to everyone, regardless of experience, ability, or skill level. Our teachers do their very best to tailor the training to the individual.

How are the groups divided? Each week there will be around 68 students, broken into four class groups of approximately 17, based on age.

Is there a final show? Yes! At 2:00PM on the final Saturday of camp, family and friends are invited to a camp performance in the theatre – the culmination of their work over the week and the sharing of the skills they have learned. With space restraints, each student can have up to 6 guests.

Do I need a costume? No. Since this is a process-oriented camp, we are focusing on the skills, technique, and the performing as opposed to the technical aspects. Students will be provided with camp T-shirts and various simple props or costume pieces as needed.

Will my child be cast in a Derby Dinner Playhouse show? Over the past few seasons, over 40 camp students have gone on to be cast in DDP professional shows. Because we have over 900 current and former students, it would be impossible to schedule an open call audition for each show. However, the camp is a great opportunity for our directors and staff to train and get to know your child for consideration for future callbacks, should they meet the specific needs the director of the show may request.

Can parents watch class? We find that students do much better and are often more free creatively when not being observed by parents. The best non-obtrusive place to observe class is in the top row of the theatre arena as the other classrooms are smaller and it tends to disrupt the class.

What about food? Students bring their own lunch (no refrigerator available.) If they wish to bring a snack, there are a couple snack breaks as well. Water and cups are provided.

Are there any extra costs? No. It’s important to us to keep our camp price reasonable and to not add extra costs. Each student will receive a free camp shirt, and camp photos taken by a professional photographer will be available on our Facebook Fan page at no cost.

How do I contact you? If there is an emergency and you need to reach a teacher or student during class time, call the box office at 812-288-8281. If you need to reach us outside of class time, you can call the 812-288-2632, ex. 132 or email Matt at Wallace@derbydinner.com.

Cancellation Policy You may cancel one month in advance with no penalty and receive a full refund. If you cancel less than one month in advance, you will receive a refund only if there is a waiting list, and there is someone to take that open space. If you cancel less than one week before the workshop date, no refund will be given.

**NOTE – due to the large number of people registering and to be fair, we cannot save spots for students over the phone or email. To register, we must receive the completed registration form with signature and payment either in the mail or by dropping

off at box office. If you pay with credit card and scan the document with payment info, we can accept as a PDF document via email as well.**